facebook tracking ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Missouri: 5 hospitals compared (DRG 003)

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Missouri

What 5 hospitals in Missouri charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.

DRG 003 Inpatient 2024 Medicare data
Average charge $772,170 Hospital list price billed
Average payment $221,943 Medicare + patient + other payers
Medicare paid $178,755 Average per stay
State rank #15 of 29 1 = lowest average payment

Hospitals in Missouri billed an average of $772,170 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 3.5 times the average total payment of $221,943. That payment is 10% below the U.S. average of $246,178.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $221,943Billed $772,170

About 29¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec

Every Missouri hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Barnes Jewish HospitalSt Louis 60 $826,674 $284,969 $200,199
St Louis University HospitalSt Louis 27 $558,365 $189,130 $165,842
St Lukes Hospital of Kansas CityKansas City 22 $1,119,192 $188,737 $172,781
University Hospitals & ClinicsColumbia 19 $655,533 $168,821 $161,619
Missouri Baptist Medical CenterTown and Country 16 $589,932 $149,703 $148,691
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Lowest and highest payments in Missouri

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Missouri Baptist Medical CenterTown and Country, MO$149,703
University Hospitals & ClinicsColumbia, MO$168,821
St Lukes Hospital of Kansas CityKansas City, MO$188,737
St Louis University HospitalSt Louis, MO$189,130
Barnes Jewish HospitalSt Louis, MO$284,969

Highest

Barnes Jewish HospitalSt Louis, MO$284,969
St Louis University HospitalSt Louis, MO$189,130
St Lukes Hospital of Kansas CityKansas City, MO$188,737
University Hospitals & ClinicsColumbia, MO$168,821
Missouri Baptist Medical CenterTown and Country, MO$149,703

ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states

Questions

How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Missouri?

In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 5 hospitals in Missouri was billed at $772,170 on average, while the average total payment was $221,943, of which Medicare paid $178,755. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Missouri, average charges were 3.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.